AdvancedsPharmacologysExa
ms 1
OncesyousgraduatesfromsansNPsprogram,sinsorderstosprescribesyou'llsneed:s-
sCORRECTsANSWER✔-Advancedsnursesprescriberslicense
-DEAs#
WhatsissthespurposesofsasDEAs#?s-
sCORRECTsANSWER✔Neededstosprescribedsscheduledsdrugs
RulessforsprescribingsSchedulesIIsdrugs:s-sCORRECTsANSWER✔-
Writtensscriptsneeded
-1smonthssupplysonlys
-Nosrefills
WhatsissthesPDMP?s-
sCORRECTsANSWER✔PrescriptionsDrugsMonitoringsProgram
Usedstoseffectivelystrackspatient'sscontrolledssubstancesusessacrosssdiffere
ntshealthsfacilitiess(insthessamesstate)
Whatsaresclinicalspracticesguidelines?s-
sCORRECTsANSWER✔Recommendations sthatsaresintendedstosoptimize
,patientscaresthatsaresinformedsbysassystematicsreviewsofsthesevidencesandsa
s
nsassessmentsofsthesbenefits/harmssofsalternativescarespractices
Ex:ssepsis,sCAP
Commonscausessofsmedicationserrors:s-sCORRECTsANSWER✔-
Illegibleswriting
-Drugsnamessthatssoundsalike
-Medicationssthatslooksalike
-Administeringsasdrugswithstheswrongsroute
Whatsisspharmacokinetics?sWhatsaresitss4scategories?s-
sCORRECTsANSWER✔Whatsthesbodysdoesstosthesdrug
1.sAbsorption
2.sMetabolism
3.sDistribution
4.sExcretion
Quickestsroutesofsabsorption?sSlowest?s-
sCORRECTsANSWER✔IVs=squickests
IMs=sslowest
,Whatsissthesmostscommonswaysdrugsspasssthroughscellsmembranes?s-
sCORRECTsANSWER✔Passivesdiffusion
Whatscharacteristicssofsasdrugsallowsitstospasssmostsquicklysthroughscellsme
mbraness(usuallysthroughspassivesdiffusion)?s-
sCORRECTsANSWER✔Small, sunchargeds(unionized), slipidssoluble--
passsthroughsmembraneswithoutsanysenergy
Whatsdoessitsmeanswhensasdrugsissionized?s-
sCORRECTsANSWER✔Itsmeanssthatsthesdrugsissstucksinsthescompartme
ntsitswassionizedsinsandshasstosbesmovedstosthesnextscompartments(cannotsb
esabsorbedsintosthesbloodstream)
Wheresdosweaksacidssabsorb?s-sCORRECTsANSWER✔Stomach
Wheresdosweaksbasessabsorb?s-sCORRECTsANSWER✔Smallsintestine
pHsofsstomach:s-sCORRECTsANSWER✔2-4
pHsofssmallsintestine:s-sCORRECTsANSWER✔6-7
pHsofslargesintestine:s-sCORRECTsANSWER✔6-7
pHsofsbloodstream:s-sCORRECTsANSWER✔7.35-7.45
, pHsofsbladder:s-sCORRECTsANSWER✔5-8
pHsofsbreastmilk:s-sCORRECTsANSWER✔7.1
WhereswillsasdrugsabsorbsifsitsissasweaksbasesthatsionizessatsaspHsofs4sandslo
wer?s-
sCORRECTsANSWER✔Insthessmallsintestines(sincesthesstomachshassasp
Hsofs2-
4,ssosthesdrugswillsbecomesionizedsandsmovestosthessmallsintestineswheresits
willsbesablestosabsorbsintosthesbloodstream)
HowscanswesmanipulatesthesurinespHsinscasessofsoverdose?s-
sCORRECTsANSWER✔Drugssthatsaresweaksacidss(aspirin)scansbestrapp
edsandsexcretedsthroughsthesurine.s
WesraisespHsofsthesurines(withssodiumsbicarb)stosforcesthesdrugstosionizesan
dsallowsitstosbesexcreted,snotsreabsorbedsthroughsthesbloodstream.
Whatsissdistribution?s-
sCORRECTsANSWER✔Howsasdrugswillsbestransported stosthestissuessitsn
eedsstosgostosinsordersforsitstosexertsitsseffects
Drugsfactorssrelatedstosdistribution:s-sCORRECTsANSWER✔-
Lipidssolubilitys
-Molecularssize
-Degreesofsionizations
ms 1
OncesyousgraduatesfromsansNPsprogram,sinsorderstosprescribesyou'llsneed:s-
sCORRECTsANSWER✔-Advancedsnursesprescriberslicense
-DEAs#
WhatsissthespurposesofsasDEAs#?s-
sCORRECTsANSWER✔Neededstosprescribedsscheduledsdrugs
RulessforsprescribingsSchedulesIIsdrugs:s-sCORRECTsANSWER✔-
Writtensscriptsneeded
-1smonthssupplysonlys
-Nosrefills
WhatsissthesPDMP?s-
sCORRECTsANSWER✔PrescriptionsDrugsMonitoringsProgram
Usedstoseffectivelystrackspatient'sscontrolledssubstancesusessacrosssdiffere
ntshealthsfacilitiess(insthessamesstate)
Whatsaresclinicalspracticesguidelines?s-
sCORRECTsANSWER✔Recommendations sthatsaresintendedstosoptimize
,patientscaresthatsaresinformedsbysassystematicsreviewsofsthesevidencesandsa
s
nsassessmentsofsthesbenefits/harmssofsalternativescarespractices
Ex:ssepsis,sCAP
Commonscausessofsmedicationserrors:s-sCORRECTsANSWER✔-
Illegibleswriting
-Drugsnamessthatssoundsalike
-Medicationssthatslooksalike
-Administeringsasdrugswithstheswrongsroute
Whatsisspharmacokinetics?sWhatsaresitss4scategories?s-
sCORRECTsANSWER✔Whatsthesbodysdoesstosthesdrug
1.sAbsorption
2.sMetabolism
3.sDistribution
4.sExcretion
Quickestsroutesofsabsorption?sSlowest?s-
sCORRECTsANSWER✔IVs=squickests
IMs=sslowest
,Whatsissthesmostscommonswaysdrugsspasssthroughscellsmembranes?s-
sCORRECTsANSWER✔Passivesdiffusion
Whatscharacteristicssofsasdrugsallowsitstospasssmostsquicklysthroughscellsme
mbraness(usuallysthroughspassivesdiffusion)?s-
sCORRECTsANSWER✔Small, sunchargeds(unionized), slipidssoluble--
passsthroughsmembraneswithoutsanysenergy
Whatsdoessitsmeanswhensasdrugsissionized?s-
sCORRECTsANSWER✔Itsmeanssthatsthesdrugsissstucksinsthescompartme
ntsitswassionizedsinsandshasstosbesmovedstosthesnextscompartments(cannotsb
esabsorbedsintosthesbloodstream)
Wheresdosweaksacidssabsorb?s-sCORRECTsANSWER✔Stomach
Wheresdosweaksbasessabsorb?s-sCORRECTsANSWER✔Smallsintestine
pHsofsstomach:s-sCORRECTsANSWER✔2-4
pHsofssmallsintestine:s-sCORRECTsANSWER✔6-7
pHsofslargesintestine:s-sCORRECTsANSWER✔6-7
pHsofsbloodstream:s-sCORRECTsANSWER✔7.35-7.45
, pHsofsbladder:s-sCORRECTsANSWER✔5-8
pHsofsbreastmilk:s-sCORRECTsANSWER✔7.1
WhereswillsasdrugsabsorbsifsitsissasweaksbasesthatsionizessatsaspHsofs4sandslo
wer?s-
sCORRECTsANSWER✔Insthessmallsintestines(sincesthesstomachshassasp
Hsofs2-
4,ssosthesdrugswillsbecomesionizedsandsmovestosthessmallsintestineswheresits
willsbesablestosabsorbsintosthesbloodstream)
HowscanswesmanipulatesthesurinespHsinscasessofsoverdose?s-
sCORRECTsANSWER✔Drugssthatsaresweaksacidss(aspirin)scansbestrapp
edsandsexcretedsthroughsthesurine.s
WesraisespHsofsthesurines(withssodiumsbicarb)stosforcesthesdrugstosionizesan
dsallowsitstosbesexcreted,snotsreabsorbedsthroughsthesbloodstream.
Whatsissdistribution?s-
sCORRECTsANSWER✔Howsasdrugswillsbestransported stosthestissuessitsn
eedsstosgostosinsordersforsitstosexertsitsseffects
Drugsfactorssrelatedstosdistribution:s-sCORRECTsANSWER✔-
Lipidssolubilitys
-Molecularssize
-Degreesofsionizations
